Hanley, Kimberly
Hanley, Kimberly is an sole proprietor health care provider with primary practice located at 55 Maple Ave Ste 306 , Rockville Centre NY 11570-4267. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Hanley, Kimberly can be contacted via phone (516) 639-4925.Contact Information
Primary practice address
55 Maple Ave Ste 306
Rockville Centre NY 11570-4267
Phone: (516) 639-4925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | New York |
Profile Details
| NPI number | 1164181830 |
|---|---|
| LBN Legal business name | Hanley, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2021 |
| Last updated | Dec 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164181830 | NPPES |
| New York | MEDICAID | 00000 | |
| New York | MEDICAID | CF32405A |
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